MS. SHARA LANECIA MCPHALL (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003542549

MS. SHARA LANECIA MCPHALL (PMHNP) is a healthcare provider. based in Fort myers, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. APRN11020143 (FL). The NPI Number for MS. SHARA LANECIA MCPHALL (PMHNP) is 1003542549

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MS. SHARA LANECIA MCPHALL (PMHNP)
NPI
1003542549
Phone
(239) 236-8784
Address
4310 METRO PKWY STE 205
Enumeration Date
27 July 2022
Last Update Date
27 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392232751
Graduation Year
2022 (4 years ago)
PAC ID
9133573520
Group Practice PAC ID
2860619632
Professional Enrollment ID
I20231004001560
Address ID
FL320734547OR1542XAVEX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MS. SHARA LANECIA MCPHALL (PMHNP)

  • 4310 METRO PKWY STE 205

    FORT MYERS, FL 339169416

    Phone: (239) 236-8784

    Fax: (239) 790-2624

    Type: Mailing

  • 1542 KINGSLEY AVE STE 136

    ORANGE PARK, FL 320734547

    Phone: (239) 223-2751

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 160 Open Payments records for all available years, with a total value of $4,097.

Total Amount is formed as General ($4,097) + Research ($0) + Ownership ($0) = $4,097.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABBVIE INC. ($985).

Total Amount

$4,097

General + Research + Ownership

Payments

160

Total payment records

General Amount

$4,097

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231004001560INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33916)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860619632View full group profile
NameSpecialtyState
Mental Health CounselorFL
Clinical Social WorkerIN
Clinical Social WorkerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What number should I use to identify MS. SHARA LANECIA MCPHALL (PMHNP) for billing?
Administrative and clinical systems typically use NPI 1003542549 for MS. SHARA LANECIA MCPHALL (PMHNP).
Should I treat MS. SHARA LANECIA MCPHALL (PMHNP) as an active provider?
Patients and plans typically see MS. SHARA LANECIA MCPHALL (PMHNP) as active in the national extract.
What does the directory say MS. SHARA LANECIA MCPHALL (PMHNP) does?
Insurance directories may phrase it differently, but here MS. SHARA LANECIA MCPHALL (PMHNP) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. SHARA LANECIA MCPHALL (PMHNP)?
MS. SHARA LANECIA MCPHALL (PMHNP) shows a connection to Fort Myers, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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